Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Adashek And Wilkes LLP (NPI 1336148543)

Key Findings

Field	Value
Entity Type	Organization
Organization	Adashek And Wilkes LLP
Address	5761 S Fort Apache Rd
City	Las Vegas
State	NV
ZIP	89148
Taxonomy	Maternal & Fetal Medicine Physician
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

This provider is effectively single‑payer in these data: there is no Medicare billing on file and total Medicaid revenue is $16.7M, so all reported fee‑for‑service activity in our dataset is Medicaid‑sourced. Analysts should treat Medicaid patterns as representative of the practice’s scale and service mix rather than a split Medicare/Medicaid operation.

Revenue is heavily concentrated in a few imaging codes: the precomputed top‑3 Medicaid codes account for 52.0% of this provider's total Medicaid revenue, with 76818 generating $4.3M (26.0%), 76811 generating $2.2M (13.4%), and 76816 generating $2.1M (12.7%). This concentration indicates that a majority of payment dollars flow from a small set of maternal‑fetal ultrasound services.

The procedure mix is consistent with a maternal & fetal medicine imaging center and high‑volume prenatal diagnostic practice: 76818 (biophysical profile), 76811 (detailed transabdominal fetal anatomy ultrasound), 76816 (reexamination following abnormal ultrasound), and 76825 (fetal echocardiography) together show the practice focuses on advanced fetal surveillance and targeted fetal cardiac evaluation. High counts in both comprehensive ultrasound and follow‑up codes suggest a workflow built around repeated imaging encounters rather than episodic inpatient care.

Competitive standing in Nevada is dominant for core fetal imaging services: 76818 ranks #1 of 31 providers in‑state (100th percentile; extreme outlier), 76811 ranks #1 of 24 (100th percentile; extreme outlier), and 76817 ranks #1 of 72 (100th percentile; extreme outlier), signaling that this entity is a major statewide provider for these exams and operates at volumes far above typical peers. Several additional codes (76825, 76813, 76805, 76820, 99211, and G0108) are also flagged as extreme or notable outliers, reinforcing its market leadership in specific service lines.

Claim volumes demonstrate high throughput outpatient activity: 76818 has 39.2K claims, 76811 has 14.7K claims, 76816 has 17K claims, 99214 has 20.6K claims, and 99211 has 28.4K claims. These large claim counts combined with the E/M codes (99214 and 99211) indicate the practice manages both imaging and substantial office/clinic visit volume, consistent with a high‑volume ambulatory maternal‑fetal practice model.

The provider also reports unusually high volumes in several ancillary codes outside core ultrasound diagnostics—most notably G0108 (4.4K claims, $189.5K; ranks #1 of 33 in‑state, 100th percentile) and 81002 (35.1K claims, $70.3K; ranks #1 of 255 in‑state, 100th percentile). This suggests the practice bundles related outpatient services such as diabetes self‑management education and point‑of‑care urine testing alongside its imaging portfolio, expanding revenue streams beyond strictly diagnostic ultrasound.

Because a majority of reimbursement is tied to a handful of imaging codes, the practice’s Medicaid revenue is sensitive to changes in coverage policy or reimbursement for those codes: roughly half of revenue comes from the three top imaging codes (52.0%), so payers or policy shifts that affect 76818/76811/76816 would have outsized impact on overall revenue. Analysts evaluating contracting or payment changes should prioritize these specific codes when modeling financial impact.

The NPI was enumerated on 2005-07-19 (~21 years ago), indicating an established presence in the market. Coupled with persistent, high claim volumes and repeated top‑rank state positions for multiple fetal imaging codes, this tenure supports the interpretation that the practice is a long‑standing, specialized maternal and fetal medicine service provider in Nevada.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	39,250	$110	$4.3M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	14,660	$150	$2.2M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	16,970	$120	$2.1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	20,620	$70	$1.4M
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	15,330	$80	$1.2M
76825	The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.	4,870	$230	$1.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10,480	$60	$660.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	28,410	$20	$426.1K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	4,140	$100	$422.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	2,060	$160	$327.7K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Adashek And Wilkes LLP — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	1	30	410	$110	$350.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	412	470	380	$70	$281.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	230	430	500	$40	$214.4K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	1	20	110	$160	$199.9K
76825	The provider performs real–time fetal echocardiography, with or without M–mode recording, for complete evaluation of a fetal cardiovascular system.	1	10	30	$230	$152.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2	50	230	$110	$144.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	48	2,250	290	$60	$138K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	124	2,480	330	$50	$107.6K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	3	80	80	$150	$91.2K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	1	70	340	$60	$78.9K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women's Health Associates Of Southern Nevada- Martin, PLLC	NV	Obstetrics & Gynecology Physician	$0	$22.7M
Southern Hills Medical Center, LLC	NV	General Acute Care Hospital	$0	$19.8M
Eid Nevada Critical Care PLLC	NV	Critical Care Medicine (Internal Medicine) Physician	$0	$16.2M
Therapy Blocks L.L.C.	NV	Occupational Therapist	$0	$15.2M
Kevin Bernstein Md LLC	NV	Geriatric Psychiatry Physician	$0	$7.5M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$4.8M
Innovative Care Physicians	NV	Internal Medicine Physician	$0	$4.5M
Dmytro Bond	NV	Pediatrics Physician	$0	$3.7M
The Speech House LLC	NV	Speech-Language Pathologist	$0	$3.7M
The Aac Speech Clinic, LLC	NV	Speech-Language Pathologist	$0	$3.4M

Adashek And Wilkes LLP — Billing Profile & Reimbursement Data

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Adashek And Wilkes LLP — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References